Krishan K Vashistha, MD Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KRISHAN K VASHISTHA, MD INC.

Practice address

27141 Hidaway Ave Ste 105
Canyon Country, CA 91351-4137

Phone

(661) 251-4783

Fax

(661) 251-8245

NPI assigned

Aug 23, 2019

Last updated

Aug 23, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krishan Kumar Vashistha, MDNPI 1629062005

Title

President

Phone

(661) 251-4783

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishan Kumar Vashistha, MD

  • Pediatrics Physician
  • Canyon Country, CA
  • NPI 1629062005
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1720635675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 105",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514137",
            "telephone_number": "661-251-4783",
            "fax_number": "661-251-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 105",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514137",
            "telephone_number": "661-251-4783",
            "fax_number": "661-251-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN K VASHISTHA, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "VASHISTHA",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-251-4783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patientally.com",
            "affiliation": "N",
            "address_1": "27141 Hidaway Ave Ste 105",
            "city": "Canyon Country",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913514137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenosa Dealings Inc
• Naira Keshishyan
• Elma Babayans Khodagholian, N.P
• Charles Joseph Konya Jr.
• Ahmed Korayem
• Eric P Kuehne, M.D.
• Ron Kusek, NSCA-CPT, CTNC, FAS
• Vernon Henry Lackman, M.D.
• Edward C Landon, O.D.
• Mary Debra Lasisi

• Pediatrics Physician in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.